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(2) To participate in the Medical Reimbursement and/or Dependent Care Reimbursement portions of this Plan, each Eligible Employee shall execute and deliver to the Employer, within thirty (30) days of becoming eligible for the Plan, a written and signed application by which the Eligible Employee applies to participate in the Medical Reimbursement and/or Dependent Care portions of this Plan. This written and signed application will also designate the required amount of Compensation for the Plan Year in question as Pay Conversion Contributions; (3) Authorize Pay Conversion Contributions in the required amount; (4) Observe all Plan rules and regulations; (5) Agree to inquiries by the Employer with respect to any physician, hospital, or other provider of inedical care or other services covered by this Plan; and (6) Submit to the Employer all reports, bills, and other information that the Employer may reasonably require. If you do not make a benefit election within the time period required by the Plan, you will not be eligible to participate in the Plan, until the next Plan Year, unless you have a change in status as defined by the Plan. PAYING FOR BENEFITS Benefits are paid for by you using your Pay Conversion Contributions. PAY CONVERSION CONTRIBUTIONS Pay Conversion Contributions are the amounts by which you reduce your regular gross (before tax) wages or salary in exchange for the Employer's contribution of equal amounts to the Plan. The election to participate in the Employer's health, dental plan and/or life insurance plan(s) shall authorize the appropriate payroll deductions. BENEFITS PROVIDED UNDER THE PLAN The types of benefits available to you under the Plan are described below. If you do not use your Pay Conversion Contributions to purchase benefits, such amounts will be paid to you in cash. Health Plan Covera�e. Payment of the employee cost of coverage under the City of Roseville Health Plan. This health plan is described in the Health Plan Summary Plan Description.